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General NPI Number Information
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NPI Number | 1760150544
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Entity Type | Individual
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Provider Name | JENNIFER MAHONEY HOFFMAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/05/2021
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Last Update Date | 09/05/2021
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Provider Practice Location Address
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Address Line | 800 SE CENTRAL PKWY
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City | STUART
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State | FL
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Zip | 34994-3901
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Country | US
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Telephone | 771-287-9912
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 NW FEDERAL HWY APT 1414
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City | STUART
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State | FL
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Zip | 34994-9394
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Country | US
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Telephone | 610-864-9217
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT21558
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License Number State | FL
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